| Third Street Community Clinic Inc | |
|
2131 Park Ave W Ste 200 Ontario OH 44906-1226 | |
| (419) 525-6730 | |
| Not Available |
| Full Name | Third Street Community Clinic Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2131 Park Ave W Ste 200, Ontario, Ohio |
| Authorized Official Name and Position | Peggy Anderson (CEO) |
| Authorized Official Contact | 4195267880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Street Community Clinic Inc 600 W 3rd St Mansfield OH 44906-2633 Ph: (419) 522-6191 | Third Street Community Clinic Inc 2131 Park Ave W Ste 200 Ontario OH 44906-1226 Ph: (419) 525-6730 |
| NPI Number | 1700534575 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/11/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700534575 | NPI | - | NPPES |
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Third Street Community Clinic Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2131 Park Ave W, Ontario, OH 44906 Phone: 419-525-6730 |